More Related Content Similar to Chapter 5_mcgee Similar to Chapter 5_mcgee (20) 2. Copyright © 2014, 2009 by Mosby, Inc., an
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*Evolution of the NCLEX-
RN Exam
*National Council of State Boards of Nursing
*Protects the public interest by ensuring that all
entry-level nurses have met the minimum
standard level required for safe and effective
practice before licensing
*Was paper/pencil but went to CAT
*Computerized adaptive testing
*The student’s answer to each question determines
whether the next question will be easier or more
difficult.
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*CAT
*Reliable and valid means of testing for entry-
level nurse competency
*Adjusts the level of difficulty of each question
based on the accuracy of the previous answer
*Calculates estimated ability with each question
answered
*Uses a 95% confidence interval for determining
the minimum passing standard for competency
4. Copyright © 2014, 2009 by Mosby, Inc., an
imprint of Elsevier Inc.
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*NCLEX-RN Exam
*Pass or fail
*The computer will continue to test until it
determines with 95% confidence that ability either
surpasses (pass) or does not meet the minimum
passing standard (fail).
*Length
* If, by the 265th question, the computer has not been
able to determine within 95% confidence that the
student has either clearly passed or failed (in other
words, right on the borderline), the computer will then
estimate ability as either pass or fail; remember, the
student must meet or exceed the standard to pass.
5. Copyright © 2014, 2009 by Mosby, Inc., an
imprint of Elsevier Inc.
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*NCLEX-RN Exam
(Cont'd)
*Pass or fail
*Time limit
* If students run out of time before they have completed
at least 75 questions, the computer will determine
that they have failed.
* If they have answered at least 75 questions, the
computer will evaluate the last 60 ability calculations,
and as long as each and every one exceeds the
minimum passing standard, the computer will
determine that they have passed.
*Number of questions
* 75-265
6. Copyright © 2014, 2009 by Mosby, Inc., an
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*NCLEX-RN Exam
(Cont'd)
*NCLEX test plan
*Perform practice analysis every 3 years to update test
*Questions written by educators and practicing nurses
* Written at application, analysis, synthesis, evaluation levels
*Categories
* Safe, effective care environment
* Management of care 17-23%
* Safety and infection control 9-15%
* Health promotion and maintenance 6-12%
* Psychosocial integrity 6-12%
* Physiological integrity
* Basic care and comfort 6-12%
* Pharmacological and parenteral therapies 12-18%
7. Copyright © 2014, 2009 by Mosby, Inc., an
imprint of Elsevier Inc.
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*NCLEX-RN Exam
(Cont'd)
*NCLEX-RN-style test items
*They primarily consist of four-option multiple-
choice questions with one answer.
*Multiple response for multiple-choice items is used.
*Fill-in-the-blank by completing calculations.
*Use/analyze exhibits, pictures, tables, or graphs.
*Click on a certain area on an image to indicate
answer (“hot spot” items).
*Drag and drop items from one location to another
on a screen for ordering or prioritizing.
8. Copyright © 2014, 2009 by Mosby, Inc., an
imprint of Elsevier Inc.
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*NCLEX-RN Exam
Question 1
Which statement indicates the nurse has an accurate
understanding of the NCLEX-RN exam?
1. “The test is primarily composed of essay
questions.”
2. “There is a total of 250 questions on the
NCLEX-RN test.”
3. “Management of care has the highest
percentage of questions.”
4. “To pass the exam, I need to answer only
questions from basic care.”
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*
* ANSWER AND RATIONALE: 3. “Management of
care has the highest percentage of
questions.” According to the test plan,
management of care has 17-28% of the
questions.
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*Evidence-Based
Strategies for Testing
Success
*Preparation begins now.
*The exam tests critical and higher thinking
skills.
*Deep review is needed.
*KATTS framework
*Knowledge base, anxiety control, and test-taking
strategy (KATTS)
*Includes academic and nonacademic issues
*Positive attitude and belief in self is critical
*Complete 50 questions/hr; up to 100 questions/2 hr
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imprint of Elsevier Inc.
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*Evidence-Based Strategies for
Testing Success KATTS
Framework
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imprint of Elsevier Inc.
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*Evidence-Based
Strategies for Testing
Success (Cont'd)
*The 5 C’s
*Content
* Know your stuff.
*Confidence
* Believe in yourself.
*Control
* Control tension and anxiety.
*Common sense
* What does your intuition tell you?
*Comparison
* Compare the last two choices before choosing.
13. Copyright © 2014, 2009 by Mosby, Inc., an
imprint of Elsevier Inc.
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* Evidence-Based Strategies for Testing Success
The 5 C’s
14. Copyright © 2014, 2009 by Mosby, Inc., an
imprint of Elsevier Inc.
14
*Evidence-Based
Strategies for Testing
Success (Cont'd)
*Practice with NCLEX-style questions.
*Engage in 2 to 3 hours of question drill for every
1 hour of focused content study.
*Complete a minimum of 2500 NCLEX-RN-style
questions.
Editor's Notes ANSWER AND RATIONALE: 3. “Management of care has the highest percentage of questions.” According to the test plan, management of care has 17-28% of the questions.
1. The NCLEX-RN exam primarily consists of four-option multiple-choice questions, which include single- and multiple-response items.
2. Students may either pass or fail after answering 75 or up to 265 questions.
4. The NCLEX RN exam is a pass or fail test. The computer will continue to test you until it determines with 95% confidence that your ability either surpasses (pass) or does not meet the minimum passing standard (fail).
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